Management of prolonged second stage of labor

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Management of the second stage of labor.

The second stage of labor is regarded as the climax of the birth by the delivering woman, her partner, and the care provider. International health policy and programming have placed emphasis on the first stage of labor, including appropriate use of the partogram and identification of hypertension or sepsis, and have also focused on the third stage of labor with active management (AMTSL). More r...

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Prolonged second stage of labor and postpartum hemorrhage.

OBJECTIVE To examine the relationship between prolonged second stage and postpartum hemorrhage (PPH). METHODS We conducted a retrospective case-control study of all cases of PPH which occurred at four Southern California hospitals in 2003. Cases were identified by ICD-9 codes and confirmed by chart reviews, and non-cases were randomly selected as controls. The relationship between PPH and pro...

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Prolonged Second Stage of Labor and Levator Ani Muscle Injuries

OBJECTIVE To determine the effect of pregnancy and vaginal delivery on the pelvic floor and levatorani morphology and function. METHODS Design. Cross-sectional study. Setting. Tertiary care teaching hospital. Population. 75 primigravid women were recruited for assessment at 6 weeks postpartum compared with 25 nulliparous women. Hiatal morphology and levator ani muscle avulsion were assessed b...

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The management of the second stage of labor.

OBJECTIVE To review obstetric practice in a single maternity hospital with respect to the assisted vaginal delivery rate. METHOD A retrospective analysis of the hospital statistics, labor ward records, casenotes and management protocols with respect to the second stage of labor was performed in a single maternity unit in the UK; the study included 43352 women who delivered a baby between the ...

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Pneumomediastinum following a prolonged second stage of labor – an emphasis on early diagnosis and conservative management: a case report

BACKGROUND Esophageal rupture is an extremely rare condition to occur to a pregnant or postnatal woman. Esophageal ruptures have been previously described in the literature; however, they are most common in the setting of hyperemesis gravidarum. CASE PRESENTATION This case report describes a 27-year-old white woman who began complaining of central chest pain and shortness of breath 3 hours af...

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ژورنال

عنوان ژورنال: International Journal of Reproduction, Contraception, Obstetrics and Gynecology

سال: 2018

ISSN: 2320-1789,2320-1770

DOI: 10.18203/2320-1770.ijrcog20182855